Organization Active NPI

John O Tucker DC PA

  • Chiropractor
  • Lakeland, FL
National Provider Identifier
1700927464
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH1520 Issued in FL
Legal business name
JOHN O TUCKER DC PA
Practice address
202 Allamanda Dr
Lakeland, FL 33803-2928
Phone
(863) 682-4182
Fax
(863) 682-7319
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John O Tucker, D.C.
Title
Manager
Phone
(863) 682-4182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH1520 FL Primary

Addresses

Primary practice location

202 Allamanda Dr
Lakeland, FL 33803-2928

Mailing address

202 Allamanda Dr
Lakeland, FL 33803-2928
Phone (863) 682-4182

National Provider Directory

National Provider Directory

Locations

202 Allamanda Dr
Lakeland, FL 33803
Phone (863) 682-4182

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700927464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 ALLAMANDA DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338032928",
            "telephone_number": "863-682-4182",
            "fax_number": "863-682-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 ALLAMANDA DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338032928",
            "telephone_number": "863-682-4182",
            "fax_number": "863-682-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN O TUCKER DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "863-682-4182",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH1520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.